Indirect reduction vs anatomical reduction in complex inter trochantric fractures managed with proximal femur locking compression plate
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 3
Abstract
Background: proximal femur fracture is one of the common fracture in elderly. The purpose of this study was to compare the results Indirect reduction vs anatomical reduction in complex inter trochantric fractures managed with proximal femur locking plate. Materials and methods: The proposed study is a hospital based prospective study. It was done between 2013 and 2016. 40 patients of inter trochantric fracture were included in the study. 20 cases randomly were treated by indirect reduction and rest 20 by anatomic reduction. The union rate, hip function and complication were compared between the 2 groups. Results: In the Study, 19 (95%) of the fractures united in 16 wk in indirect reduction group where as 80% of direct reduction group had union in 16 wk. There were no cases of intraoperative fracture comminution, or infection in indirect reduction group but anatomical reduction group had 3 cases of infection and 2 intraoperative fracture comminution. 7 patients in indirect reduction group had mal union and 2 had screw breakage but anatomical reduction group had no such complications. Functional results were graded according to the Harris hip score. Overall functional results were excellent in 70% in indirect reduction group compared to 93% in anatomical reduction group of patients. n=number of cases
Authors and Affiliations
Dr. Raghavendra MS, Dr. Bharath Shekharappa Gadagoli
Keywords
Related Articles
- EP ID EP506861
- DOI -
- Views 73
- Downloads 0
Comparative study of distal tibia fractures managed by nailing vs plating
Introduction: Distal tibia fractures often caused by high energy axial compressive, direct bending or low energy rotation forces. These fractures constitute less than 7% of all the tibial fracture and less than 10% of al...
A modification of Bristow Latarjet procedure and results at 2 years follow-up
Background: Recurrent instability and deficits of shoulder function are common after a primary traumatic anterior shoulder dislocation. The possibility of recurrent dislocation decreases with increasing age at primary di...
Effect of intra-operative cell salvage in negating the need for allogenic transfusion in patients undergoing primary hip and knee arthroplasty
Introduction: Total joint arthroplasty is the operation of choice and a reliable option for end stage arthritis of the hip and knee. With a growing and aging population, the incidence of total hip and knee arthroplasty i...
Comparision of different modalities of treatment for ACL tear
Introduction: Knee joint derangement has a phenomenal growth in modern times owing to the immense expansion of industrial development, heavy vehicular traffic with increase in the number of accidents and enormous progres...
Functional outcome of open surgical repair of full thickness rotator cuff tears using the double row suture anchorage technique
Introduction: The arthroscopic method offers several advantages, including smaller incisions, access to the gleno-humeral joint for the inspection and treatment of intra-articular lesions, no need for detachment of the d...